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HESI Fundamentals Fall 2024 - TCC Exam 2024/2025 Question With Completed & Verified Solutions.
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HESI Fundamentals Fall 2024 - TCC Exam 2024/2025 Question With Completed & Verified Solutions.
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HESI Fundamentals Fall 2021 - TCCWhat types of procedures should be assigned to professional nurses? - ANS Sterile or Invasive
Procedures
Negligence is measured by reasonableness. What question will the nurse ask when determining
such reasonableness? - ANS Would a reasonable and prudent nurse act the same manner
under the same circumstances?
List the four elements that are necessary to prove malpractice (professional negligence)? - ANS
Duty.
Breech of Duty.
Causation.
Damanges.
Define an intentional tort and give one example. - ANS Conduct causing damage to another
person in a willful or intentional way without just cause.
Example: Hitting a client out of anger, not in a mannr of self-protection.
Name three legal requirements of a surgical permit. - ANS Voluntary.
Informed.
Written.
Who may give consent for medical treatment? - ANS Alert, coherent, or otherwise competent
adults.
A parent or legal guardian.
A person in loco parentis of minors or incompetent adults.
What law protects the nurse who provides care or gives aid in an emergency situation? - ANS
The Good Samaritan Act
What actions should the nurse take if he or she questions a health care provider's prescription -
that is, believes the prescription is wrong? - ANS Inform the healthcare provider
Record that the healthcare provider was informed and the health provider's response to such
information.
Inform the nursing supervisor.
Refuse to carry out the prescription.
Describe the nurse's legal responsibility when asked to perform a task for which he or she is
unprepared. - ANS Inform the health care provider or person asking the nurse to perform the
task that he or she is unprepared to carry out the task.
Refuse to perform the task.
, Describe the nursing care of the patient in restraints. - ANS Use restraints only as a last resort.
Apply restraints properly.
Check restraints frequently to see that they are not causing injury and document each check.
Remove restraints as soon as possible.
Obtain a health care provider's orders for the restraints ASAP.
Describe six patient rights guaranteed under HIPAA regulations that nurses must be aware of in
practice. - ANS 1. A patient must give written consent before a healthcare provider can use or
disclose personal information.
2. HCPs must give pts notice about provider's responsibilities regarding patient confidentiality.
3. Patient must have access to their medical records.
4. Providers who restrict access must explain why and must offer patients a description of the
complaint process.
5. Patients have the right to request that changes be made in their medical record to correct
inaccuracies.
6. Healthcare providers must follow specific tracking procedures for any disclosures made that
assure accountability for maintenance of patient confidentiality.
What PaO2 value indicates respiratory failure in adults? - ANS PaO2 below 60 mmHg
What blood value indicates hypercapnia? - ANS PCO2 above 45 mmHg
Identify the condition that exists when the PaO2 is less than 50 mmHg and FiO2 is greater than
60%. - ANS Hypoxemia
List 3 symptoms of respiratory failure in adults. - ANS Dyspnea
Tachypnea
Intercostal Retractions
Substernal Retractions
Cyanosis (a late sign)
List 4 common causes of fluid volume deficit. - ANS 1. GI Causes: vomiting/diarrhea/GI
suctioning.
2. Decrease in fluid intake.
3. Increase in fluid output such as sweating/massive edema.
4. Ascites.
Identify 2 examples of isotonic IV fluids. - ANS 1. Lactated Ringer's
2. Normal Saline
List 3 body systems that maintain acid-base balance. - ANS 1. Lungs
2. Kidneys
3. Body buffers
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